A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

"I should drink about 2 liters of fluid each day."

"I can have a moderate amount of caffeine daily."

"I should not drink alcoholic beverages during my pregnancy."

"I should increase my calcium intake to 1,500 milligrams per day."

Answer and Explanation

The Correct Answer is D

Explanation:

A. "I should drink about 2 liters of fluid each day."

This statement is generally accurate and aligned with recommendations for adequate hydration during pregnancy. The recommended daily fluid intake for pregnant individuals is typically around 8 to 10 cups of fluids per day, which is approximately 2 liters. Adequate hydration is important during pregnancy to support overall health, prevent dehydration, and maintain proper functioning of bodily systems.

B. "I can have a moderate amount of caffeine daily."

This statement is generally acceptable and aligned with guidelines from organizations such as the American College of Obstetricians and Gynecologists (ACOG). Moderate caffeine intake, typically defined as up to 200 milligrams per day, is considered safe during pregnancy for most individuals. However, it's essential to be mindful of caffeine sources and consume them in moderation, as excessive caffeine intake can have adverse effects on pregnancy outcomes.

C. "I should not drink alcoholic beverages during my pregnancy."

This statement is correct and crucial for a healthy pregnancy. Alcohol consumption during pregnancy is associated with various risks, including fetal alcohol spectrum disorders (FASDs) and developmental issues. Therefore, healthcare providers universally recommend abstaining from alcohol entirely during pregnancy to protect the health and well-being of both the mother and the developing baby.

D. "I should increase my calcium intake to 1,500 milligrams per day."

This statement indicates a need for clarification because the recommended daily intake of calcium during pregnancy is typically around 1,000 milligrams per day for most pregnant individuals. While some healthcare providers may recommend slightly higher amounts, such as up to 1,300 milligrams per day, a calcium intake of 1,500 milligrams per day is relatively high and may not align with standard recommendations without specific indications such as a history of low calcium levels or certain medical conditions. It's important for the nurse to clarify and provide accurate information regarding appropriate calcium intake during pregnancy based on the client's individual needs.

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Correct Answer is A

Explanation

Explanation:

A. "The baby's heart beat is audible by a Doppler stethoscope at 12 weeks of pregnancy."

This statement is correct. Around 12 weeks of pregnancy, the baby's heartbeat becomes audible using a Doppler stethoscope. This is a significant milestone in prenatal care as it allows healthcare providers and expectant parents to hear the baby's heartbeat for the first time, providing reassurance about fetal well-being.

B. "Very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy."

This statement is incorrect. Lanugo, the fine hair covering the baby's body, typically appears much earlier in pregnancy, around 20 weeks. However, it usually starts to shed during the third trimester, and by week 36, the baby may have minimal or no lanugo remaining. Therefore, stating that lanugo covers the entire body by week 36 is inaccurate.

C. "The sex of the baby is determined by week 8 of pregnancy."

This statement is incorrect. The sex of the baby is determined at conception when the sperm fertilizes the egg. However, the external genitalia are not typically visible on ultrasound until around week 16 to 20 of pregnancy. Therefore, while the genetic sex is determined early, it may not be visualized or confirmed until later in pregnancy.

D. "You will first feel your baby move in week 24 of pregnancy."

This statement is incorrect. Most women begin to feel fetal movements, also known as quickening, between weeks 16 and 25 of pregnancy. The first movements are typically felt around weeks 18 to 20, rather than specifically at week 24. Therefore, stating that the first fetal movements are felt at week 24 is not accurate.

A. Limit alcohol consumption. B. Consume foods fortified with folic acid. C. Increase intake of iron-rich foods. D. Avoid foods containing aspartame.

Correct Answer is B

Explanation

Explanation:

A. Limit alcohol consumption:

Alcohol consumption during pregnancy is associated with various risks, including fetal alcohol spectrum disorders (FASDs). However, in the context of reducing the risk of NTDs specifically, the focus is on nutritional factors, particularly folic acid intake, rather than alcohol consumption.

B. Consume foods fortified with folic acid:

This choice is the correct recommendation. Folic acid is crucial for the prevention of neural tube defects. Women of childbearing age, especially those planning pregnancy, are advised to consume foods fortified with folic acid or take folic acid supplements to ensure adequate intake before and during early pregnancy. This is a key preventive measure endorsed by healthcare professionals worldwide.

C. Increase intake of iron-rich foods:

Iron is important during pregnancy to prevent anemia and support fetal growth and development. However, iron intake is not directly linked to reducing the risk of neural tube defects. While overall nutritional health is essential during pregnancy, focusing on iron-rich foods alone does not specifically address the prevention of NTDs.

D. Avoid foods containing aspartame:

Aspartame is an artificial sweetener found in many foods and beverages. While there may be general recommendations regarding artificial sweetener consumption during pregnancy, avoiding foods with aspartame is not directly related to reducing the risk of neural tube defects. The primary focus for NTD prevention lies in adequate folic acid intake.

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A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

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